CMS reveals timeline for ICD-10 testing

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CMS

• The Centers for Medicare and Medicaid Services (CMS) has revealed that end-to-end ICD-10 testing for providers, announced by the regulatory body late February, will take place in July this year

• The agency announced that providers who submit claims to Medicare Claims Administration Contractors (MAC) and who are willing to participate in the testing must complete a volunteer form on the MAC website by March 24

• The test claims will be submitted between July 21-25

ICD-10 Testing

• The agency “will allow for a small subset of Medicare claims submitters to test with MACs and the Common Electronic Data Interchange contractor to demonstrate that CMS systems are ready for the ICD-10 implementation”

• Providers selected for testing will be notified by April 14, and are limited to submitting a maximum of 50 claims, in no more than three files

• CMS warns that if more than 50 claims are submitted by a single provider, that provider runs the risk that those claims may not be processed

ICD-10 Testing• MACs will inform those selected what dates of

service may be used for testing• The testing comes in the wake of criticism by the

American Medical Association (AMA), which published a report in February concluding that ICD-10 implementation costs will be more expensive than previous estimates for physician practices

• Several groups including the Medical Group Management Association, the American Hospital Association and the Workgroup for Electronic Data Interchange previously had called for CMS to consider end-to-end testing

New Research

• New research in the Journal of Oncology Practice concludes that the ICD-10 transition may lead to both information and financial losses for providers

• Additionally, a report from Fitch Ratings predicts that the transition may have negative credit reverberations for some providers

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-10-testing/

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